Right to Withdraw from Contract

MODEL WITHDRAWAL FORM

(this form is to be completed and returned only if you wish to withdraw from the contract)

–Address [insert trader's name, full postal address and, e-mail address here]

–I/We(*) hereby give notice(*) of my/our withdrawal from the contract of sale of the following goods(*) the contract of delivery of the following goods(*) the contract of workmanship of the following goods(*)/the following service(*)

–Date of conclusion of the contract(*)/of receipt(*)

–First and last name of consumer('s)

–Address of consumer('s)

–Signature of consumer('s) (only if this form is sent on paper)

–Date

(*) Cross out where not applicable.